| Beacon Light Behavioral Health System | |
|
1885 Market St Warren PA 16365-1277 | |
| (814) 817-1400 | |
| (814) 362-5245 |
| Full Name | Beacon Light Behavioral Health System |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1885 Market St, Warren, Pennsylvania |
| Authorized Official Name and Position | Tina M Cary (CREDENTIALING) |
| Authorized Official Contact | 8148171400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Light Behavioral Health System 800 E Main St Bradford PA 16701-3278 Ph: (814) 817-1400 | Beacon Light Behavioral Health System 1885 Market St Warren PA 16365-1277 Ph: (814) 817-1400 |
| NPI Number | 1043863947 |
|---|---|
| Provider Enumeration Date | 07/19/2019 |
| Last Update Date | 07/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043863947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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